Any condition, without regard to the nature or cause of the condition, which in the opinion of a prudent layperson, possessing an average knowledge of medicine and health:
requires immediate intervention or medical attention without which the Member would present an immediate danger to themselves or others; or
which renders the Member incapable of controlling, knowing, or understanding the consequences of their actions.
Emergency care is available 24 hours a day, 7 days a week.
